Organization Active NPI

Monroe Randolph Bi-County Health Department

  • Public Health or Welfare Agency
  • Chester, IL
National Provider Identifier
1295874576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MONROE RANDOLPH BI-COUNTY HEALTH DEPARTMENT
Practice address
2515 State St
Chester, IL 62233-1149
Phone
(618) 826-5007
Fax
(618) 826-5223
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas G Smith, M.P.A.
Title
Administrator
Phone
(618) 826-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IL Primary

Addresses

Primary practice location

2515 State St
Chester, IL 62233-1149

Mailing address

2515 State St
Chester, IL 62233-1149
Phone (618) 826-5007

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295874576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331149",
            "telephone_number": "618-826-5007",
            "fax_number": "618-826-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331149",
            "telephone_number": "618-826-5007",
            "fax_number": "618-826-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE RANDOLPH BI-COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-826-5007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.